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date: 23 March 2018

Abstract and Keywords

This chapter focuses on the structure underlying governmental oversight of healthcare quality. It first defines three terms associated with government controls on the provision of healthcare services: licensure, registration, and certification. It then compares private quality-control mechanisms with state and federal quality-control regulation, and addressesfederalism in licensure and Medicare/Medicaid certification. It also describes standards that measure the quality of care as part of quality-control regulation of healthcare professionals and facilities before turning to informed consent-based alternatives to restrictive licensure standards and the scope-of-practice regulation. Finally, it looks at scope-of-practice conflicts illustrated by professional and lay assistance at childbirth and whether the practice of midwifery falls within the practice of medicine or nursing.

Keywords: governmental oversight, healthcare, licensure, registration, certification, federalism, quality of care, quality control, informed consent, scope-of-practice regulation

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